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NPI Code Detail

MEDICARE: FRANK CARVALHO PA-C

MEDICARE: FRANK CARVALHO PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant0110840642VA

General Provider Information

NPI Number : 1265419824
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK CARVALHO PA-C
Provider Business Mailing Address
First Line : 616 DUSTY RD
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23322-5495
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1550 TOMCAT BLVD
Second Line :
City : VIRGINIA BCH
State : VA
Zip : 23460-2218
Country : US
Telephone Number : 757-314-7080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 07/08/2007

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Directions to “ FRANK CARVALHO PA-C” Practice Location

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